Willoughby Post Acute
37603 Euclid Ave, Willoughby, OH 44094 · Lake County · 157 certified beds · avg 132 residents/day · certified since May 2, 1974
Part of chain: PACS GROUP (274 facilities, chain avg rating 2.9★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 4/5
⚠ The most recent standard health inspection was more than 2 years ago — conditions may have changed.
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
Most serious findings (actual harm or immediate jeopardy)
▲ Actual harm, one-off · Oct 22, 2025 · F-0697 · triggered by a complaint
The facility did not provide safe and appropriate pain management for a resident who needed it.
Why it matters: Untreated pain causes needless suffering and can lead to depression, poor sleep, and declining health.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Oct 31, 2025 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Aug 3, 2023 · F-0689
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Jul 6, 2023 (Past Non-Compliance)
All citations in the current public record (21)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Apr 23, 2026 | D · Potential for harm, one-off | The facility did not provide necessary behavioral health care and services — support for residents' mental and emotional wellbeing, including conditions like depression and anxiety. · from a complaint |
| Oct 22, 2025 | ▲ G · Actual harm, one-off | The facility did not provide safe and appropriate pain management for a resident who needed it. · from a complaint |
| Aug 5, 2025 | F · Potential for harm, facility-wide | The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors. · from a complaint |
| Aug 5, 2025 | D · Potential for harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| Aug 5, 2025 | D · Potential for harm, one-off | The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. · from a complaint |
| Aug 5, 2025 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · from a complaint |
| Nov 20, 2024 | F · Potential for harm, facility-wide | The facility did not have enough nursing staff each day to meet every resident's needs, or did not have a licensed nurse in charge on each shift. Adequate staffing is one of the strongest predictors of good care. · from a complaint |
| Nov 20, 2024 | E · Potential for harm, repeated | The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors. · from a complaint |
| Nov 20, 2024 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint |
| Nov 20, 2024 | D · Potential for harm, one-off | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · from a complaint |
| Nov 20, 2024 | D · Potential for harm, one-off | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint |
| Sep 16, 2024 | D · Potential for harm, one-off | The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. · from a complaint |
| Aug 7, 2024 | D · Potential for harm, one-off | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · from a complaint |
| Aug 3, 2023 | ▲ G · Actual harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| Nov 21, 2019 | D · Potential for harm, one-off | The facility did not give residents proper notice about what Medicare or Medicaid covers, or about charges the resident might owe for services that aren't covered. |
| Oct 4, 2018 | D · Potential for harm, one-off | The facility did not honor a resident's right to choose their own attending doctor. Residents get to decide which physician oversees their care. |
| Oct 4, 2018 | D · Potential for harm, one-off | The facility did not keep residents' personal and medical information private and confidential. |
| Oct 4, 2018 | D · Potential for harm, one-off | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. |
| Oct 4, 2018 | D · Potential for harm, one-off | The facility allowed residents to lose the ability to do daily activities — like bathing, dressing, and eating — when there was no medical reason for the decline. Good care helps residents keep the abilities they have. |
| Oct 4, 2018 | D · Potential for harm, one-off | The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. |
| Oct 4, 2018 | D · Potential for harm, one-off | The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems. |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (1 → 1).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2018 | 6 | 0 | D |
| 2019 | 1 | 0 | D |
| 2023 | 1 | 1 | G ▲ |
| 2024 | 7 | 0 | F |
| 2025 | 5 | 1 | G ▲ |
| 2026 | 1 | 0 | D |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
1 fine totaling $39,840.
| Date | Type | Amount / length |
|---|---|---|
| Oct 22, 2025 | Fine | $39,840 |
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Ohio avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 2.77 | 3.45 | 3.95 | bottom 11% in Ohio; bottom 8% in the U.S. |
| Registered Nurse hours | 0.48 | 0.60 | 0.69 | bottom 36% in Ohio; bottom 34% in the U.S. |
| Weekend total nurse staffing | 2.48 | 3.07 | 3.50 | bottom 11% in Ohio; bottom 9% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.36 | 0.42 | 0.48 | bottom 43% in Ohio; bottom 44% in the U.S. |
| Total nursing staff turnover (%) | 43.9 | 48.7 | 45.8 | top 37% in Ohio; top 47% in the U.S. |
| RN turnover (%) | 15.0 | 43.9 | 42.9 | top 9% in Ohio; top 9% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 2.99, RN 0.52, weekend 2.68. Staffing rating: 2/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 5/5 · long-stay residents: 5/5 · short-stay residents: 2/5
Who owns this facility
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| 37603 Euclid Ave Oh Owner LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 12/01/2024 |
| SNF Oh Holdco LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 12/01/2024 |
| Well Integra Master JV LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 12/01/2024 |
| Well PM Holdco JV LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 12/01/2024 |
| Apt, Frederick | Individual | Managing Control - Governing Body | NOT APPLICABLE | 12/01/2024 |
| Apt, Frederick | Individual | Corporate Officer | NOT APPLICABLE | 12/01/2024 |
| Jergensen, Joshua | Individual | Managing Control - Governing Body | NOT APPLICABLE | 12/01/2024 |
| Jergensen, Joshua | Individual | Corporate Officer | NOT APPLICABLE | 12/01/2024 |
| Mehta, Dharmesh | Individual | ADP of the SNF | NOT APPLICABLE | 12/01/2024 |
| Mitchell, John | Individual | Managing Control - Governing Body | NOT APPLICABLE | 12/01/2024 |
| Mitchell, John | Individual | Corporate Officer | NOT APPLICABLE | 12/01/2024 |
| Pacs Group, INC. | Organization | Operational/Managerial Control | NOT APPLICABLE | 12/01/2024 |
| Pacs Holdings, LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 12/01/2024 |
| Providence Group NH, LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 12/01/2024 |
| Ramacciato, Amarilys | Individual | Operational/Managerial Control | NOT APPLICABLE | 12/01/2024 |
| Ramacciato, Amarilys | Individual | ADP of the SNF | NOT APPLICABLE | 12/01/2024 |
| Welltower INC | Organization | ADP of the SNF | NOT APPLICABLE | 12/01/2024 |
| Welltower Op, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 12/01/2024 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "How do you assess and manage residents' pain, especially for those who have trouble communicating?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "What mental health services do you provide on-site, and who delivers them?"
- "Can we tour the whole building today, including resident bathrooms and common areas, not just the lobby?"
- "What systems do you use to prevent medication errors, and what happens when one occurs?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "What is your nurse and aide staffing ratio on each shift, including nights and weekends?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Ohio Living Breckenridge Village | 1.0 mi | Willoughby, OH | ★★★★☆ | 4/5 | |
| Kirtland Woods of Journey | 3.6 mi | Kirtland, OH | ★☆☆☆☆ | 1/5 | |
| Mentor Ridge Health and Rehabilitation | 3.6 mi | Mentor, OH | ★★★★★ | 5/5 | |
| Mentor Hills Post Acute | 3.7 mi | Mentor, OH | ★★★☆☆ | 3/5 | |
| Wickliffe Country Place | 4.1 mi | Wickliffe, OH | ★★★☆☆ | 2/5 | |
| Altercare of Mayfield Village, INC | 4.6 mi | Mayfield Village, OH | ★★★☆☆ | 2/5 | |
| Highland Pointe Health & Rehab Center | 5.8 mi | Highland Heights, OH | ★☆☆☆☆ | 1/5 | |
| Grande Pointe Healthcare Commu | 6.2 mi | Richmond Heights, OH | ★★☆☆☆ | 2/5 | |
| Carecore at Mentor | 7.0 mi | Mentor, OH | ★☆☆☆☆ | 1/5 | |
| Heritage Healthcare of Euclid | 7.0 mi | Euclid, OH | ★☆☆☆☆ | 2/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 365305.